Cool Flash for the Hot Flash is clinically proven to relieve hot flashes. It is a topical non-sticky cosmetic gel applied to the back of neck top of chest or underside of wrists. It contains no hormones or estrogen. This doctor-approved formula is clinically proven to provide instantenous relief. 100% of a clinical test group received hot flash relief! This breakthrough formula provides cooling comfort for hot flashes simply by rubbing in a small amount on the neck and shoulders or wrists. Includes: Topical ointment No hormones or estrogen Doctor Approved Instant Relief from Hot Flashes Each tube contains 80 applications Made in the USA